Although the report finds that taking the Medicaid expansion could be advantageous for Louisiana's budget, the report still cautions that the federal insurance program for the poor needs to be reworked by the U.S. Department of Health and Human Services. It notes that Louisiana now puts most Medicaid recipients in a managed care program — which is expected to provide cost savings for the state — but says the federal government should make it easier for states to get waivers that allow further flexibility.
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